Janis Irene McDonald, MA CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

0254321 Issued in NY

Practice address

12110 Rockaway Blvd
Ms226
South Ozone Park, NY 11420-2427

Phone

(718) 843-2260

NPI assigned

Aug 16, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480377600000",
    "number": "1609155035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12110 ROCKAWAY BLVD",
            "address_2": "MS226",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202427",
            "telephone_number": "718-843-2260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12110 ROCKAWAY BLVD",
            "address_2": "MS226",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114202427",
            "telephone_number": "718-843-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "JANIS",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "MA CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-16",
        "last_updated": "2016-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA5945",
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": "SA5945",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "0254321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eleni Mathioudakis, LMSW
• Darlene L. Matthews, CASAC-T
• Daniella May
• Bernadette L Mayers, NP
• Annmarie McDonald, MD
• Nicole McEwen
• Rawle Anthony McIntosh
• Mona Melody McKenzie, ATC
• Catherine Mary McManus
• Levinia Melaram

• Speech-Language Pathologist in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Speech-Language Pathologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.